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    CaseStudy CAN2

    Uploaded by

    Weng Ramojal
    1. CHF is when the heart cannot pump enough blood to meet the body's needs. It causes fluid backup in the lungs or body. 2. Left heart failure prevents the left side of the heart from pumping to the body, backing fluid into the lungs. Right heart failure stops the right side from pumping to the lungs, backing fluid into the body and causing swelling. 3. Monitoring fluid intake and output is best to evaluate a patient's volume status. This allows the healthcare team to recognize fluid losses and plan care to prevent electrolyte imbalances.

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    CaseStudy CAN2

    Uploaded by

    Weng Ramojal
    243 views4 pages
    1. CHF is when the heart cannot pump enough blood to meet the body's needs. It causes fluid backup in the lungs or body. 2. Left heart failure prevents the left side of the heart from pumping to the body, backing fluid into the lungs. Right heart failure stops the right side from pumping to the lungs, backing fluid into the body and causing swelling. 3. Monitoring fluid intake and output is best to evaluate a patient's volume status. This allows the healthcare team to recognize fluid losses and plan care to prevent electrolyte imbalances.

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    CaseStudy_CAN2

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    1. CHF is when the heart cannot pump enough blood to meet the body's needs. It causes fluid backup in the lungs or body. 2. Left heart failure prevents the left side of the heart from pumping to the body, backing fluid into the lungs. Right heart failure stops the right side from pumping to the lungs, backing fluid into the body and causing swelling. 3. Monitoring fluid intake and output is best to evaluate a patient's volume status. This allows the healthcare team to recognize fluid losses and plan care to prevent electrolyte imbalances.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    243 views4 pages

    CaseStudy CAN2

    Uploaded by

    Weng Ramojal
    1. CHF is when the heart cannot pump enough blood to meet the body's needs. It causes fluid backup in the lungs or body. 2. Left heart failure prevents the left side of the heart from pumping to the body, backing fluid into the lungs. Right heart failure stops the right side from pumping to the lungs, backing fluid into the body and causing swelling. 3. Monitoring fluid intake and output is best to evaluate a patient's volume status. This allows the healthcare team to recognize fluid losses and plan care to prevent electrolyte imbalances.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 4

    1. Mr. Hampton asks you to explain to him what CHF means.

    How would
    you describe the condition in terms the patient can understand?
    Congestive Heart Failure is a condition where the heart is unable
    to pump sufficient blood to meet the needs of the tissue for
    oxygen and nutrients.

    2. The nurse recalls that both right and left sided heart failure are
    potential diagnoses for patients. Compare the two in table.
    Left Sided Heart Failure
    The inability of the left side of
    the heart to pump into the
    systemic circulation. Back-up
    behind the left ventricle
    causes accumulation of fluid in
    the lungs.

    Right Sided Heart Failure


    -The inability of the right side
    of the heart to adequately
    pump venous blood into the
    pulmonary circulation. This
    causes a back-up of fluid in
    the body, resulting in swelling
    and edema.

    3. What is the best way to evaluate a patients fluid volume status?


    What is your rationale for this answer?
    Monitoring Intake and output
    Rationale
    recognize significant lossesto monitor amount of fluid a
    client puts out through that the health care team can
    plan for the client
    to help evaluate clients fluid and electrolyte imbalance
    4. Mr. Hampton had the following intake and output amounts during your
    shift:
    Breakfast 6 oz. glass of orange juice, one carton of milk (240mL), and
    one cup of coffe (280mL)
    Lunch 6oz. of cranberry juice and one cartopn of milk (240mL)
    You note that he drank an estimated 400 mL from his bedside water
    pitcher.
    Output voided 400mL at 8:45, voided 250 mL at 10:30, voided 300
    mL at 1400
    Using the information above to calculate Mr. Hamptons intake and
    output for your shift.
    Input

    Output

    Glass of orange juice


    Breakf
    177mL
    ast
    One carton of milk
    240 mL
    One cup coffee 280
    mL
    Cranberry juice 177
    Lunch
    mL
    One carton of milk
    240mL
    Water pitcher 400
    mL
    Total: 1514 mL

    8:45 am - 400 mL
    10:30 am - 250 mL
    12:30 am - 400 mL
    2:00 pm - 300 mL

    Total: 1350 mL

    5. As you auscultate Mr. Hamptons lung sounds, you hear crackles.


    Describe what crackles indicate and what other important information
    to consider as a result of this finding.
    Lung crackles indicates that there is a vasoconstriction in the
    pulmonary airway. In the condition of Mr. Hampton lung cra ckles
    indicate pulmonary edema.

    6. What is primary action of Synthroid? Explain a rationale for why it is


    scheduled to be administered 6:30.
    Mr. Hampton questions why he is in this simulation are indicated to
    reduce blood pressure. Answer the following questions related to Mr.
    Hamptons hypertension.
    Action used to treat patient who do not produce enough thyroid
    hormone ion their own; helps to reduce the symptoms of low
    thyroid hormone (weight gain, sensitivity to cold, lack of energy
    and dry skin)

    7. Which of the medications in this simulation are indicated to reduce


    blood pressure? Why might multiple medications be ordered?
    Coreg and Zestril. We need 2 or more combination of medicine to
    reduce level of blood pressure to a target level and to
    compensate the work of the other medicine.

    8. Is Mr. Hamptons blood pressure effectively controlled? What is your


    rationale for this answer?

    Strict compliance of medication: the nurse administered the


    medication using 12 Rights of Patients on giving medications

    9. In report, you learned that Mr. Hamptons BNP is 2300, his potassium is
    4.2, and his WBC is 16.2. why was this information important for the
    night nurse to report?
    We need to report his BNp and WBC because it is greater than
    the normal value. An increased BNP means that heart failure
    worsens while increased WBC indicates inflammation of the heart
    or other part that may affect by CHF.

    Case Study
    in

    CAN II
    Submitted by:

    Espiritu, Veda Joy M.


    Mampurok, Atedja U.
    Pablo, Laurenze A.
    Pananggulon, Shailame S.
    Ramojal, Wenna May S.

    Submitted to:

    Mark Ryan Y. Contaoi, RN, MAN

    December 8, 2014

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